22D0962526 CLIA NUMBER - NEEDHAM GASTROENTEROLOGY ASSOC

Laboratory Demographics

  • CLIA Code: 22D0962526
  • Facility Name: NEEDHAM GASTROENTEROLOGY ASSOC
  • Facility Address: 464 HILLSIDE AVE STE 201
    NEEDHAM, MA
    ZIP 02494
  • Facility Phone: 781 444-6460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN B. COHEN
  • NPI Number: 1699789339
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0962526
LAB Type Physician Office
Facility Name NEEDHAM GASTROENTEROLOGY ASSOC
Street 464 HILLSIDE AVE STE 201
City NEEDHAM
State MA
ZIP 02494
Phone 781 444-6460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director STEVEN B. COHEN

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This page was last updated on: 9/29/2025